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[Whirlpool-dermatitis with "hot hands"].

K-A Dietrich1, T Ruzicka1, T Herzinger1

  • 1Klinik und Poliklinik für Dermatologie und Allergologie der Ludwig-Maximilians-Universität München.

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Summary
This summary is machine-generated.

Hot tub use can lead to Pseudomonas aeruginosa skin infections. In adolescents, this may present as painful palm nodules ("hot hand syndrome"), distinct from typical jacuzzi folliculitis.

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Area of Science:

  • Dermatology
  • Infectious Diseases
  • Microbiology

Background:

  • Hot tubs and whirlpools can harbor Pseudomonas aeruginosa, a gram-negative bacterium.
  • Pseudomonas aeruginosa is a common cause of cutaneous infections, particularly in aquatic environments.

Observation:

  • A 15-year-old male presented with painful palm nodules and forearm pustules after using a new whirlpool.
  • Bacteriological analysis confirmed Pseudomonas aeruginosa as the causative agent of the pustules.

Findings:

  • The patient's infection resolved within seven days after treatment with intravenous piperacillin/tazobactam and oral ibuprofen.
  • While hot tub folliculitis typically involves trunk pustules and lymphadenopathy, adolescents may exhibit 'hot hand/hot foot syndrome' with palm/sole nodules.

Implications:

  • This case highlights the varied clinical presentations of Pseudomonas aeruginosa infections in adolescents.
  • Awareness of 'hot hand/hot foot syndrome' is crucial for accurate diagnosis and treatment in pediatric populations.
  • Piperacillin/tazobactam is an effective treatment for Pseudomonas aeruginosa skin infections, especially when ciprofloxacin is contraindicated in children.